Correlation Between Recurrent Subconjunctival Hemorrhages and Conjunctivochalasis by Clinical Profile and Successful Surgical Outcome

Yamamoto, Yasuaki; Yokoi, Norihiko; Ogata, Miki; Shiraishi, Atsushi; Yamaguchi, Masahiko; Uno, Toshihiko; Inagaki, Kayoko; Hayashi, Kozaburo; Kinoshita, Shigeru; Ohashi, Yuichi

doi:10.1097/icl.0000000000000139

Cited by 3 publications

(1 citation statement)

References 16 publications

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“…The clinical feature of SCH is an asymptomatic circumscribed redness of hemorrhage under the conjunctival surface with rupture of the conjunctival capillary, in which the lesion can resolve spontaneously two weeks after the occurrence [2]. The idiopathic form of SCH tends to occur in the elderly while other ocular disorders including conjunctivitis, eye trauma, surgery-induced lesions, conjunctivochalasis, and contact lens usage are potential risk factors [3,4,5,6].…”

Section: Introductionmentioning

confidence: 99%

Dermatologic Vasculature Diseases as a Risk Factor of Subconjunctival Hemorrhage

Lee

Chen

Huang

et al. 2019

IJERPH

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To evaluate the relationship between subconjunctival hemorrhage (SCH) and dermatologic vasculature diseases (DVDs) via the national health insurance research database (NHIRD) of Taiwan. This retrospective cohort study used data from the NHIRD for the 2009 to 2013 period. Patients diagnosed with DVDs were enrolled in the study group, and a propensity score-matching population was selected as the control group after exclusion. The main outcome was set as the development of SCH in both groups. Multivariable Cox regression analysis and survival analysis were performed to estimate the adjusted hazard ratio (aHR) and cumulative probability of SCH. A total number of 3426 patients were enrolled and split equally into the study and the control groups. There was no prominent difference between the age, gender, urbanization, income level, systemic co-morbidities, and ocular diseases between the two groups after matching. During the whole study period, 131 patients in the study group and 98 patients in the control group developed SCH with a significant higher aHR of 2.69 in the study group (p < 0.05). In the survival analysis, the study group also demonstrated a higher cumulative probability of developing SCH than the control group throughout the study period (p = 0.02). In conclusion, the presence of DVDs may be a risk factor for the development of SCH.

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